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ICD-10-PCS 2027 procedure code

00HU42ZInsertion of Monitoring Device into Spinal Canal, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert of Monitor Dev into Spinal Canal, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00HU42Z

00HU42Z is the ICD-10-PCS code for a insertion procedure on the spinal canal using a percutaneous endoscopic approach with monitoring device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to other operations on spinal cord and spinal canal structures, the ICD-9-CM procedure title it maps to (03.99).

For a different body part, codes include 00H042Z (brain), 00H642Z (cerebral ventricle), 00HE42Z (cranial nerve) and 00HV42Z (spinal cord).

The same procedure with a different approach is coded 00HU02Z (open) and 00HU32Z (percutaneous).

With a different device, use 00HU41Z (radioactive element), 00HU43Z (infusion device), 00HU4MZ (neurostimulator lead) and 00HU4YZ (other device).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
0Central Nervous System and Cranial Nerves
3. Operation
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
USpinal Canal

Includes: Epidural space, spinal; Extradural space, spinal; Subarachnoid space, spinal; Subdural space, spinal; Vertebral canal

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
2Monitoring Device

Includes: Blood glucose monitoring system; Cardiac event recorder; Continuous Glucose Monitoring (CGM) device; Implantable glucose monitoring device; Loop recorder, implantable; Reveal (LINQ)(DX)(XT)

7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

ICD-9-CM equivalent

Converter →
  • 03.99Other operations on spinal cord and spinal canal structuresapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 00HU42Z

Is 00HU42Z a valid ICD-10-PCS code for 2027?

Yes. 00HU42Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00HU42Z an O.R. procedure?

Yes. 00HU42Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 00HU42Z group to?

Depending on the principal diagnosis, 00HU42Z can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 00HU42Z?

The CMS GEMs map 00HU42Z to ICD-9-CM 03.99 (Other operations on spinal cord and spinal canal structures).